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Individual
LISA MARIE COLEMAN
Active
Individual
LISA MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
11586
MN
363LP2300X
Primary Care Nurse Practitioner
71012826A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
A178622
IA
Other
Enumeration date
07/14/2022
Last updated
06/04/2024
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